Revived Soul Medical PC
NPI 1821389941 · Psychiatry Physician · Brooklyn, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revived Soul Medical PC is a Psychiatry Physician organization in Brooklyn, NY (NPI 1821389941).
Provider details
- NPI number
- 1821389941
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Irina Kiblitsky, Owner(718) 382-5060
- License
- 246958 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-23
- Last updated
- 2011-04-23
Frequently asked questions
- What is Revived Soul Medical PC's NPI number?
- Revived Soul Medical PC's National Provider Identifier (NPI) is 1821389941, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revived Soul Medical PC?
- Revived Soul Medical PC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Revived Soul Medical PC located?
- Revived Soul Medical PC's practice location on file with NPPES is 1901 Avenue P, Brooklyn, NY 11229-1342.
- What is Revived Soul Medical PC's phone number?
- The practice phone number listed in the NPPES registry for Revived Soul Medical PC is (718) 382-5060.
- Does Revived Soul Medical PC accept Medicare?
- Revived Soul Medical PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revived Soul Medical PC?
- The authorized official listed on Revived Soul Medical PC's NPPES record is Irina Kiblitsky, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revived Soul Medical PC's NPI active?
- Yes — Revived Soul Medical PC's NPI (1821389941) is active in the NPPES registry as of the last update on 2011-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.